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Annals of Vascular Surgery Mar 1993Seven hundred and seven consecutive arteriograms were analyzed regarding the effects of various factors on clinical outcome. Complication rates were assessed regarding...
Seven hundred and seven consecutive arteriograms were analyzed regarding the effects of various factors on clinical outcome. Complication rates were assessed regarding age, inpatient or outpatient procedures, operator caseload, clinical indication, preoperative renal disease, approach site, graft puncture, selective injection of arteries, amount of contrast, and catheterization time. The major complication rate for arteriography was 7% and the mortality rate was 0.7%. The complication rates for femoral and axillary approaches, respectively, were local, 9% and 27%; nervous system, 1.4% and 11%; and major, 6% and 24% (p = 0.0075, p < 0.0001, and p < 0.0001, respectively). Brachial plexus injury was noted in 13% of the patients undergoing the axillary approach. There was a trend toward a higher overall complication rate in four-vessel arch aortograms with selective vs. nonselective carotid injections, but both had similar neurologic complications. More contrast was used in patients with post-arteriogram renal failure, 224 ml vs. 168 ml. The complication rates were directly related to catheterization time, amount of contrast, and number of vessels punctured. There was a trend toward a higher complication rate in physicians with a lower caseload. In conclusion, arteriography is still associated with significant morbidity and mortality. The transfemoral approach is safer than the transaxillary route, even in patients with femoral graft punctures.
Topics: Aged; Angiography; Arteries; Catheterization, Peripheral; Contrast Media; Female; Humans; Male; Middle Aged
PubMed: 8518128
DOI: 10.1007/BF02001005 -
Circulation Nov 1983The recent increase in incidence of Kawasaki disease with attendant coronary artery aneurysms spurred our interest in developing a technique for selective coronary...
The recent increase in incidence of Kawasaki disease with attendant coronary artery aneurysms spurred our interest in developing a technique for selective coronary arteriographic examination of infants and children. Right and left coronary artery catheters were shaped according to the aortic root diameters and ascending aorta lengths predicted from the patient's heights. Thirty-eight studies were done in 34 patients who were 7 months to 18 years of age (median 3.2 years) and no permanent sequelae resulted. Advantages of the use of selective coronary arteriography include the ability to visualize stenoses, important branches, and intercoronary anastomoses. The technique is also useful in evaluation of anomalous coronary arteries, myocardial ischemia, and coronary artery distribution before right ventricular outflow tract reconstruction.
Topics: Adolescent; Angiography; Aorta; Body Height; Catheterization; Child; Child, Preschool; Coronary Angiography; Coronary Vessels; Female; Heart Defects, Congenital; Humans; Infant; Male; Mucocutaneous Lymph Node Syndrome
PubMed: 6616785
DOI: 10.1161/01.cir.68.5.1021 -
California Medicine Nov 1971Coronary arteriography has become a diagnostic procedure which is no longer limited to major medical centers but is being performed in many community hospitals. The...
Coronary arteriography has become a diagnostic procedure which is no longer limited to major medical centers but is being performed in many community hospitals. The procedure carries an appreciable risk, which is only justifiable by specific benefits to the patient. The benefits are related to the potential availability of newer surgical procedures of bypassing obstructive coronary arterial lesions. A specific set of criteria for the performance of coronary arteriography has been developed from a critical analysis of the ratio of risk to benefit. A survey of the risk of coronary arteriography indicates that mortality increases at least twentyfold and morbidity sixfold when this procedure is performed in laboratories with a low caseload as compared with high caseload institutions. Thus there appears to be no justification for performing coronary arteriography in the absence of proper team facilities.
Topics: Angiography; Coronary Angiography; Coronary Disease; Health Facilities; Humans
PubMed: 5117595
DOI: No ID Found -
British Heart Journal May 1962
Topics: Angiography; Coronary Angiography; X-Rays
PubMed: 13887151
DOI: 10.1136/hrt.24.3.269 -
Geriatrics Apr 1967
Topics: Angiography; Aortography; Catheterization; Humans; Lymphography
PubMed: 6019976
DOI: No ID Found -
Medicamundi 1958
Topics: Angiography; Aortography; Humans; Phlebography
PubMed: 13656083
DOI: No ID Found -
The American Journal of Cardiology Feb 1980
Topics: Cineangiography; Coronary Angiography; Humans
PubMed: 7355747
DOI: 10.1016/0002-9149(80)91095-4 -
Advances in Cardiology 1970
Topics: Adult; Angiography; Coronary Angiography; Coronary Disease; Female; Humans; Middle Aged
PubMed: 5493448
DOI: 10.1159/000387622 -
Progress in Cardiovascular Diseases Jul 1959
Topics: Angiocardiography; Coronary Angiography; Humans
PubMed: 14415355
DOI: 10.1016/s0033-0620(59)80009-8 -
The New England Journal of Medicine Feb 1960
Topics: Angiocardiography; Catheters; Coronary Angiography; Humans
PubMed: 13844878
DOI: 10.1056/NEJM196002182620704